“Yesterday President Obama responded to my statement that Democratic health care proposals would lead to rationed care; that the sick, the elderly and the disabled would suffer the most under such rationing; and that under such a system, these ‘unproductive’ members of society could face the prospect of government bureaucrats determining whether they deserve health care,” Palin wrote in a note on her Facebook page.

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“The provision that President Obama refers to is Section 1233 of HR 3200, entitled ‘Advance Care Planning Consultation.’ With all due respect, it’s misleading for the president to describe this section as an entirely voluntary provision that simply increases the information offered to Medicare recipients,” she continued.

“Section 1233 authorizes advanced care planning consultations for senior citizens on Medicare every five years, and more often ‘if there is a significant change in the health condition of the individual ... or upon admission to a skilled nursing facility, a long-term care facility... or a hospice program.’"

The White House and Democratic lawmakers have blasted Palin in recent days for suggesting that her own son, Trig, would have had to face a bureaucratic panel to get access to health care under the provision in the House health care proposal because he was born with Down syndrome.

“The America I know and love is not one in which my parents or my baby with Down syndrome will have to stand in front of Obama’s ‘death panel’ so his bureaucrats can decide, based on a subjective judgment of their ‘level of productivity in society,’ whether they are worthy of health care. Such a system is downright evil,” Palin wrote last week.

White House press secretary Robert Gibbs identified Palin on Wednesday as one of the GOP leaders he says is spreading “wrong” information about the health care debate.

Additionally, the Democratic Congressional Campaign Committee is using Palin’s “death panels” claim in a fundraising plea to supporters, calling the former governor’s statement “disgusting” and “outrageous.”

But Palin seemed undeterred in her latest statement, pointing to columns by The Washington Post’s Eugene Robinson and others to support her suggestion last week that the Democratic proposal is “Orwellian.”

“President Obama can try to gloss over the effects of government-authorized end-of-life consultations, but the views of one of his top health care advisers are clear enough,” Palin wrote. “It’s all just more evidence that the Democratic legislative proposals will lead to health care rationing and more evidence that the top-down plans of government bureaucrats will never result in real health care reform.”